O6-3 Analysis of the local health-enhancing physical activity policies in the French Riviera

Abstract Background According to the socio-ecological model, policy is one of the levers to initiate structural and environmental changes to foster health-enhancing physical activity (HEPA) promotion (Golden et al., 2015). However, little is known about local evidence to support governments in their policies to promote HEPA (Bull, 2018). Research on HEPA policies at local level seems particularly remains scant (Noël Racine et al., 2020). This study aims to carry out the collection of comprehensive information on municipal HEPA policies of the French Riviera to provide an overview of the development of these policies on this territory. Methods Mid-size cities from 2 counties of the French South Region were targeted (n = 17). In each city, a local HEPA policy analysis tool, CAPLA-Santé, was administered to key informants heading the departments of sport, health and social. CAPLA-Santé is a local policy analysis tool adapted from the national HEPA policy analysis tool (HEPA PAT version 2) developed by the World Health Organization. Data were collected through semi-structured interviews and documents analysis. These empirical data were used to make an inductive analysis. Results A total of 10 mid-size cities were volunteered to participate. Key informants from sport (n = 10), health (n = 5) and social (n = 6) departments were interviewed. Several written HEPA policies were formalized in 6 cities, 4 of them based their policies on scientific evidences or a national policy. These policies (n = 14), were mainly from the sport (n = 8) and the health sectors (n = 4). Some cities had a department head to ensure cross-sectoral collaboration (n = 3). Key informants reported that the support of national policies, the commitment of elected officials and an important local stakeholders' network could facilitate the HEPA promotion; whereas lack of intersectoral collaboration and resources could be a limitation. Conclusions The results help to better understand the local HEPA policies, highlighting some barriers, facilitators and perspectives. Using a local HEPA policy analysis tool can provide evidence to support policymakers. These findings could be valuable to scale up the HEPA promotion at the local level.


Background
According to the socio-ecological model, policy is one of the levers to initiate structural and environmental changes to foster health-enhancing physical activity (HEPA) promotion (Golden et al., 2015). However, little is known about local evidence to support governments in their policies to promote HEPA (Bull, 2018). Research on HEPA policies at local level seems particularly remains scant (Noël Racine et al., 2020). This study aims to carry out the collection of comprehensive information on municipal HEPA policies of the French Riviera to provide an overview of the development of these policies on this territory. Methods Mid-size cities from 2 counties of the French South Region were targeted (n = 17). In each city, a local HEPA policy analysis tool, CAPLA-Santé, was administered to key informants heading the departments of sport, health and social. CAPLA-Santé is a local policy analysis tool adapted from the national HEPA policy analysis tool (HEPA PAT version 2) developed by the World Health Organization. Data were collected through semistructured interviews and documents analysis. These empirical data were used to make an inductive analysis.

Results
A total of 10 mid-size cities were volunteered to participate. Key informants from sport (n = 10), health (n = 5) and social (n = 6) departments were interviewed. Several written HEPA policies were formalized in 6 cities, 4 of them based their policies on scientific evidences or a national policy. These policies (n = 14), were mainly from the sport (n = 8) and the health sectors (n = 4). Some cities had a department head to ensure cross-sectoral collaboration (n = 3). Key informants reported that the support of national policies, the commitment of elected officials and an important local stakeholders' network could facilitate the HEPA promotion; whereas lack of intersectoral collaboration and resources could be a limitation.

Conclusions
The results help to better understand the local HEPA policies, highlighting some barriers, facilitators and perspectives. Using a local HEPA policy analysis tool can provide evidence to support policymakers. These findings could be valuable to scale up the HEPA promotion at the local level. Keywords: health-enhancing physical activity, local policy, municipality Abstract citation ID: ckac094.044 O6-4 Passion, problems, and pathways forward: United Kingdom physical activity policy-makers' experiences of working in complex systems Background Insufficient attention to the inherent complexity of health ecosystems, through policy intervention, has precluded the development of sustainable and equitable solutions for health enhancing physical activity. While complexity and systemsthinking is becoming increasingly prevalent in policy discourse, little research has examined the implications of these approaches for developing national-level physical activity policies. Our project was the first to engage physical activity policy-makers, from across different sectors, in a discussion about their understanding of complexity and its effects on their efforts to influence systemic change. Methods Ten national-level United Kingdom physical activity policymakers were recruited through a purposive sampling strategy. Data was collected using semi-structured interviews. The data set was rigorously analysed using a thematic analysis.

Results
All participants were bound by a collective culture of passion (theme 1) and enterprise in developing policy solutions for physical inactivity. However, making sense of the issue's complexity was not always easy. Our study revealed problems (theme 2) in that policy-makers were uncertain in their attempts to define complexity and its perceived implications for their work. Similarities drawn between physical inactivity and other public health issues resulted in policy-makers disassociating themselves from it, leaving them somewhat unable to identify their role and responsibility, and that of others, in addressing the problem. Pathways forward (theme 3) included leadership and other mechanisms to connect the system in effective advocacy, support and collaboration for physical activity promotion and policy implementation. Here connections were made to the ecological and technological developments that societies face.

Conclusions
Our project advances knowledge on complexity and physical activity policy with critical implications for policy-making and broader decision-making for promoting health enhancing physical activity. The findings suggest that, in order to achieve reasonable and sustainable goals, it is important to embrace interconnectedness and create a shared platform for policymakers to convene and reconcile their views and roles. Particular attention to identifying and operationalising leadership, policy l s k ii48 European Journal of Public Health, Volume 32 Supplement 2, 2022